# ST. JOSEPH'S HOSPITAL OF BUCKHANNON, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Joseph's Hospital Nursing Care Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720183197
- **Authorized official:** MR. IVAR H. GJOLBERG JR. (ADMINISTRATOR)
- **Authorized official phone:** (304) 473-2118

## Contact information

- **Practice address:** 1 AMALIA DR, BUCKHANNON, WV 26201-2276
- **Practice address phone:** (304) 473-2000
- **Practice address fax:** (304) 473-2180
- **Mailing address:** 1 AMALIA DR, BUCKHANNON, WV 26201-2276
- **Mailing address phone:** (304) 473-2000
- **Mailing address fax:** (304) 473-2180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 87 | WV | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 12/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0001139003 | — | WV |